Privacy Policy

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

OUR RESPONSIBILITIES

At Camarillo Premier Dental, we understand that your health information is personal. We are required by law to maintain the privacy and security of your protected health information (PHI).

We are required to:

• Provide you with this Notice of our legal duties and privacy practices
• Follow the terms of this Notice currently in effect
• Notify you promptly if a breach occurs that may have compromised your information

We reserve the right to change our privacy practices and update this Notice at any time. Any changes will apply to all information we maintain. Updated notices will be available in our office and upon request.

Effective Date: March 19, 2026

USES AND DISCLOSURES OF HEALTH INFORMATION

We may use and disclose your health information for the following purposes:

Treatment

We may use or share your health information with other healthcare providers involved in your care.

Payment

We may use and disclose your information to bill and collect payment from you, insurance companies, or third parties.

Healthcare Operations

We may use your information for:

• Quality assessment and improvement
• Staff training
• Licensing and credentialing
• Business management and administrative activities

Appointment Reminders and Communications

We may contact you via phone, voicemail, text, or email regarding:

• Appointments
• Treatment follow-ups
• Billing matters

Individuals Involved in Your Care

We may share relevant information with family members, friends, or others involved in your care only if you give permission or do not object.

Required by Law

We may disclose your information when required by federal or state law, including:

• Public health reporting
• Law enforcement requests
• Health oversight agencies

Serious Threats to Health or Safety

We may disclose information to prevent a serious threat to your health or safety or the safety of others.

Special Situations

We may disclose information for:

• Workers’ compensation
• Military or national security
• Legal proceedings (court orders, subpoenas)
• Coroners, medical examiners, or funeral directors

Marketing

We will not use or disclose your information for marketing purposes without your written authorization.

Your Authorization

Any other use or disclosure not described in this Notice will only be made with your written authorization, which you may revoke at any time.

YOUR RIGHTS

You have the right to:

Access Your Records

Request copies of your health records (fees may apply).

Request an Amendment

Request corrections to your records if you believe they are incorrect or incomplete.

Request Restrictions

Ask us to limit how we use or disclose your information. We are not required to agree, but we will honor approved requests.

Request Confidential Communications

Request that we contact you in a specific way (e.g., phone, email, alternate address).

Receive an Accounting of Disclosures

Request a list of disclosures made outside of treatment, payment, and operations.

Receive a Paper Copy of This Notice

You may request a paper copy at any time, even if you agreed to receive it electronically.

QUESTIONS OR COMPLAINTS

If you have questions or believe your privacy rights have been violated, you may contact:

Privacy Officer: Elizabeth Marin
Camarillo Premier Dental
400 Mobil Ave Suite A4 Camarillo, CA 93010
Phone: (805) 484-3599
Email: dental@camarillopremierdental.com

You may also file a complaint with the U.S. Department of Health and Human Services:
https://www.hhs.gov/ocr/privacy/hipaa/complaints/

We will not retaliate against you for filing a complaint.